Organization
LIONIZE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE TRENT TAYLOR DDS (PRESIDENT/CEO)
(435) 275-5000
Entity
Organization
Contact information
Practice address
2074 S ARABIAN WAY, WASHINGTON, UT 84780-8301
(435) 275-5000
(888) 935-3494
Mailing address
2074 S ARABIAN WAY, WASHINGTON, UT 84780-8301
(435) 275-5000
(888) 935-3494
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
344866-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529292691015
—
UT
Enumeration date
07/02/2008
Last updated
02/29/2012
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